Does cognitive function affect functional capacity and perceived fatigue severity after exercise in patients with coronary artery disease?

Background & Objective: Successful execution of exercise‐based cardiac rehabilitation programs, an important branch of physiotherapy in individuals with coronary artery disease (CAD), depends on adequate cognitive abilities. It has been identified that coronary microvascular dysfunction, marked by r...

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Publicado en:Physiotherapy Research International Vol. 29; no. 4; pp. 1 - 9
Autores principales: Saklıca, Dilara, Vardar‐Yağlı, Naciye, Ateş, Ahmet Hakan, Yorgun, Hikmet
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Oct2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2024
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        10.1002/pri.2139
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        atl: Does cognitive function affect functional capacity and perceived fatigue severity after exercise in patients with coronary artery disease?
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          Saklıca, Dilara
          Vardar‐Yağlı, Naciye
          Ateş, Ahmet Hakan
          Yorgun, Hikmet
        affil: Faculty of Physical Therapy and Rehabilitation, Department of Cardiorespiratory Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey
      sug:
        subj:
          Coronary Arteriosclerosis Physiopathology
          Coronary Arteriosclerosis Rehabilitation
          Rehabilitation, Cardiac
          Training Effect (Physiology) Evaluation
          Fatigue
          Cognition
          Functional Status
          Hemodynamics
          Human
          Turkiye
          Male
          Female
          Middle Age
          Aged
          Descriptive Statistics
          Data Analysis Software
          Spearman's Rank Correlation Coefficient
          Correlation Coefficient
          Multiple Linear Regression
          Comorbidity
          Coronary Arteriosclerosis Risk Factors
          Clinical Assessment Tools
          Neuropsychological Tests
          Questionnaires
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background & Objective: Successful execution of exercise‐based cardiac rehabilitation programs, an important branch of physiotherapy in individuals with coronary artery disease (CAD), depends on adequate cognitive abilities. It has been identified that coronary microvascular dysfunction, marked by reduced coronary flow reserve, is associated with impaired cerebral blood flow, affecting haemodynamic and cognitive performance. This study aimed to investigate how cognitive function influences functional capacity and differences in fatigue perception in CAD patients. Methods: Fifty CAD patients, with an average age of 59.40 ± 6.58 years, were evaluated for comorbidities (Charlson comorbidity index), number of CAD risk factors (hypertension, diabetes mellitus, dyslipidaemia, smoking, and physical inactivity), cognitive performance (Montreal cognitive assessment scale [MoCA]), functional capacity (incremental shuttle walk test [ISWT]), exercise‐induced fatigue (Modified Bourg Scale), and physical activity (PA) levels (international physical activity questionnaire‐short form). Results: Analyses focused on the links between MoCA scores and CRF, ISWT outcomes, and differences in fatigue perception. Findings revealed a strong positive link between MoCA scores and ISWT performance (r = 0.83, p < 0.001), and a strong inverse relationship between CRF and MoCA scores (r = −0.95, p < 0.001). In addition, MoCA score was positively correlated with differences in fatigue perception (r = 0.88, p < 0.001). Conclusion: These results highlight the critical role of cognitive function in determining functional capacity and managing fatigue in CAD patients. They also suggest that cognitive interventions may be a potential adjunctive approach in physiotherapy programmes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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